Healthcare Provider Details

I. General information

NPI: 1790988418
Provider Name (Legal Business Name): A & A DENTAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7880 BROADWAY SUITE A
MERRILLVILLE IN
46410-5566
US

IV. Provider business mailing address

7880 BROADWAY SUITE A
MERRILLVILLE IN
46410-5566
US

V. Phone/Fax

Practice location:
  • Phone: 219-795-9999
  • Fax: 219-795-9590
Mailing address:
  • Phone: 219-795-9999
  • Fax: 219-795-9590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. CRESHINDA DENISE AYANGADE
Title or Position: DENTIST
Credential: DMD
Phone: 219-795-9999